PMID- 37755297 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231003 IS - 2218-1989 (Print) IS - 2218-1989 (Electronic) IS - 2218-1989 (Linking) VI - 13 IP - 9 DP - 2023 Sep 15 TI - Unlocking the Potential: Amino Acids' Role in Predicting and Exploring Therapeutic Avenues for Type 2 Diabetes Mellitus. LID - 10.3390/metabo13091017 [doi] LID - 1017 AB - Diabetes mellitus, particularly type 2 diabetes mellitus (T2DM), imposes a significant global burden with adverse clinical outcomes and escalating healthcare expenditures. Early identification of biomarkers can facilitate better screening, earlier diagnosis, and the prevention of diabetes. However, current clinical predictors often fail to detect abnormalities during the prediabetic state. Emerging studies have identified specific amino acids as potential biomarkers for predicting the onset and progression of diabetes. Understanding the underlying pathophysiological mechanisms can offer valuable insights into disease prevention and therapeutic interventions. This review provides a comprehensive summary of evidence supporting the use of amino acids and metabolites as clinical biomarkers for insulin resistance and diabetes. We discuss promising combinations of amino acids, including branched-chain amino acids, aromatic amino acids, glycine, asparagine and aspartate, in the prediction of T2DM. Furthermore, we delve into the mechanisms involving various signaling pathways and the metabolism underlying the role of amino acids in disease development. Finally, we highlight the potential of targeting predictive amino acids for preventive and therapeutic interventions, aiming to inspire further clinical investigations and mitigate the progression of T2DM, particularly in the prediabetic stage. FAU - Ding, Yilan AU - Ding Y AD - Department of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China. AD - Shanghai National Clinical Research Center for Endocrine and Metabolic Diseases, Key Laboratory for Endocrine and Metabolic Diseases of the National Health Commission of the PR China, Shanghai National Center for Translational Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China. FAU - Wang, Shuangyuan AU - Wang S AD - Department of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China. AD - Shanghai National Clinical Research Center for Endocrine and Metabolic Diseases, Key Laboratory for Endocrine and Metabolic Diseases of the National Health Commission of the PR China, Shanghai National Center for Translational Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China. FAU - Lu, Jieli AU - Lu J AD - Department of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China. AD - Shanghai National Clinical Research Center for Endocrine and Metabolic Diseases, Key Laboratory for Endocrine and Metabolic Diseases of the National Health Commission of the PR China, Shanghai National Center for Translational Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China. LA - eng GR - grant nos. 81970691/the National Natural Science Foundation of China/ GR - grant nos. 20Y11905100/Innovative research team of high-level local universities in Shanghai, Science and Technology Committee of Shanghai/ GR - grant nos. 19MC1910100/Innovative research team of high-level local universities in Shanghai, Science and Technology Committee of Shanghai/ GR - grant nos. 20224Y0087/Clinical Research Project of Shanghai Municipal Health Commission/ PT - Journal Article PT - Review DEP - 20230915 PL - Switzerland TA - Metabolites JT - Metabolites JID - 101578790 PMC - PMC10535527 OTO - NOTNLM OT - amino acids OT - intervention OT - mechanism OT - prediction OT - type 2 diabetes mellitus COIS- The authors declare no conflict of interest. EDAT- 2023/09/27 12:42 MHDA- 2023/09/27 12:43 PMCR- 2023/09/15 CRDT- 2023/09/27 09:55 PHST- 2023/08/10 00:00 [received] PHST- 2023/09/08 00:00 [revised] PHST- 2023/09/13 00:00 [accepted] PHST- 2023/09/27 12:43 [medline] PHST- 2023/09/27 12:42 [pubmed] PHST- 2023/09/27 09:55 [entrez] PHST- 2023/09/15 00:00 [pmc-release] AID - metabo13091017 [pii] AID - metabolites-13-01017 [pii] AID - 10.3390/metabo13091017 [doi] PST - epublish SO - Metabolites. 2023 Sep 15;13(9):1017. doi: 10.3390/metabo13091017.